[Antimicrobial prophylaxis in urologic surgery].
To evaluate the efficacy of preoperative antibiotic prophylaxis, we studied 130 patients who were submitted to prostate surgery. These patients were divided into 3 groups. Overall morbidity was lower for the patient group that had received antibiotic prophylaxis (Netilmicin, 3 doses) than for the group on placebo and the group on antibiotics postoperatively. The incidence of significant bacteriuria for the group on Netilmicin was less at 7 days (7.5%) and at 30 days (20.5%) than for the other groups: (22.55%) and (49.36%) at 7 and 30 days, respectively. The foregoing data indicate that preoperative antibiotic prophylaxis should be used for periods less than 24 h in all noninfected patients undergoing prostate surgery. The cost of antibiotic therapy, presence of opportunistic organisms and the duration of hospital stay are reduced by antimicrobial prophylaxis.
Luzuriaga Graf
J
J
Departamento de Urología, Hospital Luis Vernaza, Universidad de Guayaquil, Ecuador.
Sánchez Chavez
O
O
Arauz Arauz
E
E
D006801:Humans; D008297:Male; D009428:Netilmicin / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000382:microbiology / Q000517:prevention & control* / Q000652:urine; D011292:Premedication; D011469:Prostatic Diseases / Q000601:surgery*; D014552:Urinary Tract Infections / Q000382:microbiology / Q000517:prevention & control* / Q000652:urine
D009428:Netilmicin
Profilaxis antimicrobiana en cirugía urológica.